| NPI | 1063605863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A MILLER Medical Doctor 918-742-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK E09660) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2024-10-25 |